Influence of Latitude on the Prevalence of Kawasaki Disease: A Retrospective Cohort Study from the Taiwan National Health Insurance Database and Review of the Literature
| Autor: | Yi-Chen Yang, Chaw-Liang Chang, Chih-Shung Wong, Nan-Chang Chiu |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
Complete data Databases Factual National Health Programs Health Toxicology and Mutagenesis Climate prevalence Prevalence Taiwan lcsh:Medicine Mucocutaneous Lymph Node Syndrome Article Latitude 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Medicine Humans 030212 general & internal medicine Child Retrospective Studies Kawasaki disease latitude climate business.industry Medical record Incidence lcsh:R Public Health Environmental and Occupational Health Infant Retrospective cohort study medicine.disease National health insurance Child Preschool Sunshine duration Female business Demography |
| Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, Vol 15, Iss 5, p 845 (2018) International Journal of Environmental Research and Public Health; Volume 15; Issue 5; Pages: 845 |
| ISSN: | 1660-4601 |
| Popis: | Background: Countries at higher latitudes have higher incidence rates of Kawasaki disease (KD) than do countries at lower latitudes in the Asian and West Pacific area. However, the precise influence of latitude on KD incidence rates requires further clarification. Methods: We searched the Longitudinal Health Insurance Database 2005 to retrieve patients’ medical records from 1996 to 2009. The patients with KD were categorized as living in northern, middle, and southern Taiwan; the period prevalence of KD for each area was determined. Climate variables, including temperature, sunshine duration, precipitation, and relative humidity, were collected from the Taiwan Central Weather Bureau. The effect of latitude on the period KD prevalence and the correlation between climate variables and KD prevalence were calculated. Results: After patients without complete data excluded, a total of 61,830 children up to 10 years old were retrieved, from which 404 patients with KD were recognized. The period prevalence of KD increased significantly with latitude (p = 0.0004). Climate variables associated with high temperature demonstrated a connection with KD prevalence; however, this correlation was not statistically significant. Conclusions: Our study demonstrated that higher latitude is associated with a higher KD prevalence in Taiwan. |
| Databáze: | OpenAIRE |
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